Individual provider Active NPI

Emilia Osuigwe

  • Family Nurse Practitioner
  • Fayetteville, TN
National Provider Identifier
1689498131
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
37581 Issued in TN
Practice address
1321 Huntsville Hwy
Fayetteville, TN 37334-3603
Phone
(931) 297-2201
NPI assigned
Nov 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 37581 TN Primary

Addresses

Primary practice location

1321 Huntsville Hwy
Fayetteville, TN 37334-3603

Mailing address

PO Box 306244
Nashville, TN 37230-6244
Phone (931) 253-1110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250110002796 TN Practitioner - Nurse Practitioner 6901334465 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians

Practice addresses (Care Compare)

1321 Huntsville Hwy
Fayetteville, TN 37334-3603
Phone (855) 632-3278

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
37581TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Nov 6, 2024 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Nov 6, 2024 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients

Locations

7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038

718 E College St
Dickson, TN 37055
Phone (615) 560-7016

1321 Huntsville Hwy
Fayetteville, TN 37334
Phone (931) 297-2201

1128 N Castle Heights Ave
Lebanon, TN 37087
Phone (423) 352-4381

1307 N Ellington Pkwy
Lewisburg, TN 37091
Phone (931) 359-4555

1420 W College St
Pulaski, TN 38478
Phone (931) 363-3004

3813 Old Port Royal Rd N
Spring Hill, TN 37174
Phone (931) 487-1006

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1731369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1689498131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306244",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306244",
            "telephone_number": "931-253-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 HUNTSVILLE HWY",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373343603",
            "telephone_number": "931-297-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSUIGWE",
        "first_name": "EMILIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-12",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "37581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, TN

Sources for this page

Verify at the official NPI Registry.